California LifeLine Related Forms and Notices for Service Providers
Information for Service Providers
California LifeLine Program - Rules and Regulations
- Rulemaking R20.02.008 - Docket listing all documents pertaining to California LifeLine rules, documents and decisions.
How to Become a California LifeLine Service Provider
- For carriers interested in offering California LifeLine service in California, please contact Kellie Jones (kellie.jones@cpuc.ca.gov) to answer any questions and to begin the process of database interface with the 3rd party administrator. Questions related to claims of reimbursement from the ULTS Fund can be addressed to lifelineclaim@cpuc.ca.gov. For all general inquiries send questions to lifeline@cpuc.ca.gov.
California LifeLine Administrator
- 2024 - 2025 California LifeLine Income Limits
- 2023 - 2024 California LifeLine Income Limits and Revised 2022 - 2023 Limits
- 2022 - 2023 California LifeLine Income Limits
- 2021 - 2022 California LifeLine Income Limits
- 2020 - 2021 California LifeLine Income Limits
- 2019 - 2020 California LifeLine Income Limits
- 2018 - 2019 California LifeLine Income Limits
- 2017 - 2018 California LifeLine Income Limits
- 2016 - 2017 California LifeLine Income Limits
- 2015 - 2016 California LifeLine Income Limits
- 2014 - 2015 California LifeLine Income Limits
- 2013 - 2014 California LifeLine Income Limits
- 2012 - 2013 California LifeLine Income Limits
- 2011 - 2012 California LifeLine Income Limits
- 2010 - 2011 California LifeLine Income Limits
- 2009 - 2010 California LifeLine Income Limits
- 2008 - 2009 California LifeLine Income Limits
California LifeLine Program Flat Rate Cost Factor (CF) pursuant to Decision D.03.01.035
Information - Only Filings
For All Service Providers on the California Lifeline Program: New Claim Process launched on 1/30/2023. Please request for access from the lifelineclaim@cpuc.ca.gov if you did not receive access. Please view the link below for Wireless and Wireline to access the eCAP portal.
ACP Pilot Only - For Claim Periods on or after July 1, 2023
- For wireless claims for reimbursement beginning with the July 2023 claim period, please use the California LifeLine Wireless Claim Form Effective 08.01.2023. Instructions and Sample Wireless Claim Form are available.
For Claims submitted on or after January 30, 2023, eCAP Launch
- Please use the following link when account is created. https://ecap.cpuc.ca.gov/s/
For Claim Periods on or after January 1, 2022
- For wireless claims for reimbursement beginning with the January 2022 claim period, please use the California LifeLine Wireless Claim Form Effective 01.01.2022. Instructions and Sample Wireless Claim Form are available.
For Claim Periods on or after May 1, 2021
- For wireless claims for reimbursement beginning with the May 2021 claim period, please use the California LifeLine Wireless Claim Form Effective 05.01.2021. Instructions and Sample Wireless Claim Form are available.
For Claim Periods on or after December 1, 2020
- For wireless claims for reimbursement beginning with the December 2020 claim period, please use the California LifeLine Wireless Claim Form Effective 12.01.2020. Instructions and Sample Wireless Claim Form are available.
For Claim Periods on or after December 1, 2019
- For wireless claims for reimbursement beginning with the December 2019 claim period, please use the California LifeLine Wireless Claim Form Effective 12.01.2019. Instructions and Sample Wireless Claim Form are available.
For Claim Periods on or after May 1, 2018
- For wireless claims for reimbursement beginning with the May 2018 claim period, please use the California LifeLine Wireless Claim Form Effective 05.01.2018. Instructions and Sample Wireless Claim Form are available.
For Claim Period on or after March 1, 2014:
- For claim reimbursement after March 1, 2014, please use this version of Wireless California Lifeline Claim Form (G.O. 153, D.14-01-036, D.10-11-033/Res. T-17321), and Instructions.
Claim form and supporting documents can be submitted via e-mail to lifelineclaim@cpuc.ca.gov.
ACP Pilot Only - For Claim Periods on or after July 1, 2023
- For wireline claims for reimbursement beginning with the July 2023 claim period, please use the California LifeLine Wireline Claim Form Effective 08.01.2023. Instructions and Sample Wireline Claim Form are available.
For Claims submitted on or after January 30, 2023, eCAP Launch
- Please use the following link when account is created. https://ecap.cpuc.ca.gov/s/
For Claim Periods on or after January 1, 2022
- For wireline claims for reimbursement beginning with the January 2022 claim period, please use the California LifeLine Wireline Claim Form Effective 01.01.2022. Instructions and Sample Wireline Claim Form are available.
For Claim Periods on or after May 1, 2021
- For wireline claims for reimbursement beginning with the May 2021 claim period, please use the California LifeLine Wireline Claim Form Effective 05.01.2021. Instructions and Sample Wireline Claim Form are available.
For Claim Periods on or after December 1, 2020
- For wireline claims for reimbursement beginning with the December 2020 claim period, please use the California LifeLine Wireline Claim Form Effective 12.01.2020. Instructions and Sample Wireline Claim Form are available.
For Claim Periods on or after December 1, 2019
- For wireline claims for reimbursement beginning with the December 2019 claim period, please use the California LifeLine Wireline Claim Form Effective 12.01.2019. Instructions and Sample Wireline Claim Form are available.
For Claim Periods on or after May 1, 2018
- For wireline claims for reimbursement beginning with the May 2018 claim period, please use the California LifeLine Wireline Claim Form Effective 05.01.2018. Instructions and Sample Wireline Claim Form are available.
For Claim Period on or after December 1, 2011:
- For claim reimbursement after December 1, 2011, please use this version of California Lifeline Claim Form (G.O. 153, D.10-11-033/Res. T-17321), Instructions, and claim form example with formula
For Claim Period on or after July 1, 2009:
- For claim reimbursement after July 1, 2009, please use this version of California LifeLine Claim Form (G.O. 153 - D.08-08-029 / Res. T-17202) and Instructions
For Claim Period on or before June 30, 2009:
- For claim instruction and sample form, please go to G.O.153 Section 9 and Appendix D
- For bad debt calculations and information please go to G.O. 153 Section 9.3.9. Sample bad debt spreadsheet should be included with monthly claim.
Claim form and supporting documents can be submitted via e-mail to lifelineclaim@cpuc.ca.gov